| NPI | 1245611078 |
|---|---|
| Former Name | SANDRA GUISE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IA 00919) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164.000271) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2017-08-28 |