| NPI | 1912281924 |
|---|---|
| Former Name | KAREN BANEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: PA DN002011) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN002011) |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2011-10-10 |