| NPI | 1346340445 |
|---|---|
| Former Name | MARYANNE ANN PROKARYM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN000257) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 816228) |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2021-10-18 |