| NPI | 1841727989 |
|---|---|
| Former Name | KELSIE LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: TX 21701029) |
| 133NN1002X Nutritionist, Nutrition, Education | |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2024-09-09 |