| 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 |