| NPI | 1548631401 |
|---|---|
| Former Name | KELLY MICHELLE PIETROSANTI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA LD004266) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 974658) |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2015-10-16 |