NPI | 1205192317 |
---|---|
Former Name | KRISTIE UNIACKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 1068318) |
Additional Taxonomies | 133V00000X Dietitian, Registered |
Enumeration Date | 2012-04-03 |
Last Update Date | 2024-09-20 |