| NPI | 1437475381 |
|---|---|
| Former Name | SANDRA JEAN NOVELLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CT 000853) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 006600) |
| Enumeration Date | 2010-04-18 |
| Last Update Date | 2010-04-18 |