| NPI | 1699172767 |
|---|---|
| Former Name | AMANDA BUCHNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: SD 1109148) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: SD 0495) |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2014-12-04 |