| NPI | 1376048801 |
|---|---|
| Former Name | ANDREA LYNN SUJKOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: 949739) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-03-27 |