NPI | 1952462277 |
---|---|
Former Name | KELLY A RODRIGUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT04934) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT 04934) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2025-09-02 |