| NPI | 1720882335 |
|---|---|
| Former Name | SHELLEY LYNN MUNCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2001018096) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KS 516) |
| Enumeration Date | 2025-04-02 |
| Last Update Date | 2025-04-02 |