NPI | 1215318720 |
---|---|
Former Name | KRISTAN LASHAY STEWART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: SC 1224) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: SC 1224) |
Enumeration Date | 2015-06-11 |
Last Update Date | 2021-05-26 |