| NPI | 1417708553 |
|---|---|
| Other Name | SUSIE KICE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86265245) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 012167) |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-07-24 |