| NPI | 1023387669 |
|---|---|
| Former Name | ANDREA L CORNELIUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 1083363) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA 1083363) |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2024-11-14 |