NPI | 1952752164 |
---|---|
Other Name | KELLY WEST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AL 2604) |
Additional Taxonomies | 133N00000X Nutritionist (Licence: AL 2604) |
Enumeration Date | 2016-06-29 |
Last Update Date | 2021-09-14 |