NPI | 1982337820 |
---|---|
Former Name | KIMBERLY GONZALEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KS 2875) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND10698) |
133V00000X Dietitian, Registered | |
Enumeration Date | 2022-07-07 |
Last Update Date | 2024-09-12 |