| NPI | 1831553981 |
|---|---|
| Former Name | AMANDA GOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 1052071) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND 7683) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2016-04-05 |