NPI | 1427573542 |
---|---|
Former Name | MEGAN RENEE KWON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA LD004915) |
Additional Taxonomies | 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics (Licence: GA LD004915) |
Enumeration Date | 2017-08-09 |
Last Update Date | 2024-09-04 |