| NPI | 1487830998 |
|---|---|
| Former Name | ANDREA MARIE WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 851891) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-5184T) |
| 133V00000X Dietitian, Registered (Licence: MO 851891) | |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2011-06-17 |