NPI | 1821386418 |
---|---|
Former Name | PAMELA MARIE SHORT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: PA DN000319) |
Enumeration Date | 2011-07-15 |
Last Update Date | 2011-07-15 |