NPI | 1255688685 |
---|---|
Former Name | AMELIA BETH MCBRIDE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: UT 6349146-4901) |
Enumeration Date | 2012-08-03 |
Last Update Date | 2023-07-13 |