| NPI | 1831252139 |
|---|---|
| Former Name | KRISTY RENEE ROGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT06872) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2013-02-01 |