| NPI | 1710384243 |
|---|---|
| Former Name | KAITLIN COFFEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR 10177728) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA DI60366844) |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2022-02-11 |