NPI | 1790395317 |
---|---|
Former Name | KRISTINA LANDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN006303) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 86076743) |
133V00000X Dietitian, Registered (Licence: MD DX5023) | |
Enumeration Date | 2020-08-07 |
Last Update Date | 2020-12-29 |