Individual
KIRSTI BRUNZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1090315
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1090315
ACADEMY OF NUTRITION AND DIETETICS
MN
Enumeration date
10/18/2012
Last updated
10/18/2012
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