| NPI | 1467852889 |
|---|---|
| Former Name | LISA ANNE PETROCCI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 005342-1) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: NY 005342) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2016-10-26 |