| NPI | 1598437824 |
|---|---|
| Former Name | LAUREN ALYSSA KIRK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TN 3095) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TN L004940) |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2021-10-05 |