| NPI | 1588118772 |
|---|---|
| Former Name | KRISTIN L KERGOSIEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY 279064) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OK 723) |
| 133V00000X Dietitian, Registered (Licence: AR 1996) | |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2023-04-05 |