NPI | 1134785652 |
---|---|
Former Name | KRISTINA MARIE WINTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD.7097) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 390200000X) |
Enumeration Date | 2019-05-10 |
Last Update Date | 2019-09-25 |