| 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 |