| NPI | 1639610405 |
|---|---|
| Former Name | DANIELLE SANSILOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL 8287) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA 63373161) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2024-10-28 |