| NPI | 1962103416 |
|---|---|
| Former Name | KATELYN MCKENZIE CONNICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics (Licence: KS 86020609) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IA 119181) |
| 133V00000X Dietitian, Registered (Licence: KS 2423) | |
| 133V00000X Dietitian, Registered (Licence: MO 2023012539) | |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2023-04-08 |