| NPI | 1225335334 |
|---|---|
| Former Name | ELLEN GWYN WEIDNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: FL 3601) |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2011-02-25 |