| NPI | 1710536339 |
|---|---|
| Former Name | KATELYN ANN FLEWELLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT89830) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L005920) |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2024-06-05 |