NPI | 1215540323 |
---|---|
Former Name | KELLY MORROW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133VN1101X Dietitian, Registered, Nutrition, Gerontological (Licence: MD DX-3126) |
Enumeration Date | 2020-08-28 |
Last Update Date | 2020-08-28 |