| NPI | 1235730672 |
|---|---|
| Former Name | LAURA MARIE KILMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WI 2873) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WI 86040645) |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2025-07-17 |