| NPI | 1386053908 |
|---|---|
| Former Name | TAMARA B FAWCETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA 1073198) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN005316) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2019-05-09 |