| NPI | 1518785260 |
|---|---|
| Former Name | LAUREN KRISTINE WONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND11913) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX5716) |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-10-08 |