| NPI | 1881418879 |
|---|---|
| Former Name | KELSI LAURELL BROCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management |
| Additional Taxonomies | 174H00000X Health Educator |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2024-11-14 |
| Last Update Date | 2024-11-14 |