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 |