| 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 |