| NPI | 1306805791 |
|---|---|
| Former Name | GERI LEE KOHNCKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133VN1005X Dietitian, Registered Nutrition, Renal |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2007-07-08 |