| NPI | 1881363000 |
|---|---|
| Former Name | AMANDA KOCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 164.008510) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: IL 164.008510) |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2022-12-14 |