| 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 |