| NPI | 1801494208 |
|---|---|
| Former Name | TARA KIRKPATRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: UT 11875850-4901) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WV 86154773) |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2023-11-01 |