| NPI | 1528328275 |
|---|---|
| Former Name | AMANDA BENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: SC 1219) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2015-01-14 |