| NPI | 1245402544 |
|---|---|
| Former Name | ROBERTA JERYL ROSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN000026) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: PA 513983) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2010-04-27 |