| NPI | 1588607022 |
|---|---|
| Former Name | MARY ELLEN KANE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA 436344) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: PA DN001201) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2017-03-29 |