| NPI | 1538611819 |
|---|---|
| Former Name | KATELIN MARIE SCHROCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: MI 1045026) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |