| NPI | 1669820668 |
|---|---|
| Former Name | TERESA HOSTETLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: NE 864307) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NE 584) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-05-31 |