| NPI | 1629240981 |
|---|---|
| Former Name | KRISTA NICHOLE LANTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT82534) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OK 1441) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2013-03-12 |