| NPI | 1487249132 |
|---|---|
| Former Name | AVA REICHARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN008234) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL 10187) |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2024-03-14 |