| NPI | 1548632136 |
|---|---|
| Former Name | STACIE RENEE SCHUTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: IL 164005765) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2020-08-24 |