NPI | 1841764479 |
---|---|
Former Name | AMY GAY TORDECILLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: CA 801194) |
Enumeration Date | 2019-01-16 |
Last Update Date | 2019-01-16 |