| NPI | 1487000279 |
|---|---|
| Former Name | LISA S SHAMBAUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN000007) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: PA DN000007) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2018-09-17 |