| NPI | 1578568630 |
|---|---|
| Former Name | ANDREA D LOLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 884951) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WI 1614) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2013-05-13 |