| NPI | 1851745657 |
|---|---|
| Former Name | KATIE ELLEN FERGUSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NH 0689) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: RI LDN00898) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2017-09-15 |