| NPI | 1669517546 |
|---|---|
| Former Name | AMANDA JEAN O'NEILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: HI 121-LD) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 133V00000X Dietitian, Registered (Licence: PA DN002183) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2024-01-26 |