| NPI | 1457936015 |
|---|---|
| Former Name | AMY JEAN KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NH 1190) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 5004) |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2023-05-08 |