| NPI | 1205980174 |
|---|---|
| Former Name | KERRIE E AMICONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L003170) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN003368) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2010-06-30 |