| NPI | 1235446444 |
|---|---|
| Former Name | AMY LEIGH HUMENIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA 714471) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: PA DN001441) |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2010-09-09 |