NPI | 1942851159 |
---|---|
Former Name | KATHRYN LEE RESKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86075534) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-306122) |
Enumeration Date | 2019-09-28 |
Last Update Date | 2024-07-30 |