| NPI | 1780848416 |
|---|---|
| Former Name | KATHLEEN MARIE ROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 507570) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L001589) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2008-07-11 |