| NPI | 1982302352 |
|---|---|
| Former Name | KELSIE ANDREWS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT83986) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TX DT83986) |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2023-08-09 |