| NPI | 1194174581 |
|---|---|
| Former Name | KRISTIN POWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX3918) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NM LD-0608) |
| 133V00000X Dietitian, Registered (Licence: DC DI100000787) | |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-07 |