NPI | 1619857596 |
---|---|
Former Name | ELYSE KRAWTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA LD004485) |
Additional Taxonomies | 133V00000X Dietitian, Registered |
Enumeration Date | 2025-09-03 |
Last Update Date | 2025-09-29 |