| NPI | 1851618615 |
|---|---|
| Former Name | GAYLE ANN OVERMYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 164.001309) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: IL 164.001309) |
| 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: IL 164.001309) | |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2013-11-06 |