| NPI | 1154608578 |
|---|---|
| Former Name | LORI L WALTERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MI 912475) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH 912475) |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: IN 912475) | |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2023-09-06 |