| NPI | 1205874435 |
|---|---|
| Former Name | MARY ANGELA CROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: NC L000121) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2007-07-08 |