NPI | 1184827669 |
---|---|
Former Name | AMY BRAGLIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 898072) |
Additional Taxonomies | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: CA 898072) |
133N00000X Nutritionist (Licence: CA 898072) | |
133NN1002X Nutritionist, Nutrition, Education (Licence: CA 898072) | |
Enumeration Date | 2007-06-11 |
Last Update Date | 2012-07-03 |