| NPI | 1801169388 |
|---|---|
| Former Name | KRISTIE L DOUGHERTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN004672) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: PA DN004672) |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2012-02-15 |