NPI | 1871166611 |
---|---|
Former Name | KYLE RUFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: SD 0801) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MT MED-NUTR-LIC-100458) |
Enumeration Date | 2021-07-20 |
Last Update Date | 2022-02-25 |