| NPI | 1659506913 |
|---|---|
| Former Name | JOEY KATHLEEN PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133NN1002X Nutritionist, Nutrition, Education | |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2009-05-15 |