| NPI | 1710653613 |
|---|---|
| Former Name | KELLY NICOLE DOWD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 86104032) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2021-09-12 |