NPI | 1770912859 |
---|---|
Former Name | KATY ANN HARTMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: RI 00730) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 3335) |
Enumeration Date | 2013-11-08 |
Last Update Date | 2022-07-25 |