| 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 |