NPI | 1962838680 |
---|---|
Former Name | CAITLIN MARIE KANNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 164007167) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH 7263) |
Enumeration Date | 2013-09-26 |
Last Update Date | 2024-02-29 |