NPI | 1366072068 |
---|---|
Other Name | KIRSTEN GRANBERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT85784) |
Additional Taxonomies | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management (Licence: TX DT85784) |
Enumeration Date | 2020-01-22 |
Last Update Date | 2022-01-12 |