| NPI | 1992273346 |
|---|---|
| Former Name | KELLY ANN SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR D-10195067) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MN 4433) |
| Enumeration Date | 2018-11-04 |
| Last Update Date | 2021-01-19 |