| NPI | 1760847396 |
|---|---|
| Former Name | KELLY A TASKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 3559) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MN 86028765) |
| Enumeration Date | 2015-12-26 |
| Last Update Date | 2024-04-29 |