| NPI | 1538551098 |
|---|---|
| Former Name | AMY COLUCCI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: LA 2878) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NJ 979964) |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2018-04-04 |