| NPI | 1235147356 |
|---|---|
| Former Name | DIANE MARY DEPEW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1006X Dietitian, Registered Nutrition, Metabolic (Licence: GA LD002104) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2012-06-29 |