| NPI | 1487740841 |
|---|---|
| Former Name | AMY MARIE FREEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND5645) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TN 1712) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2021-11-29 |