| NPI | 1477148666 |
|---|---|
| Former Name | AMANDA GHEEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: UT 86175855) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NV 40589-DI-0) |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2024-12-20 |