NPI | 1609520832 |
---|---|
Former Name | KAITLYN KOHNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2021019030) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KS 2685) |
Enumeration Date | 2022-02-07 |
Last Update Date | 2022-02-07 |