NPI | 1962109124 |
---|---|
Former Name | KYLIE KNAPP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 86049643) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: AZ L-307192) |
Enumeration Date | 2023-02-08 |
Last Update Date | 2023-02-08 |