NPI | 1598238123 |
---|---|
Former Name | AMY WARREN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 00899624) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD D02265) |
Enumeration Date | 2019-01-07 |
Last Update Date | 2025-02-04 |