| NPI | 1942456942 |
|---|---|
| Former Name | AMY MASTRO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: VA 893706) |
| Additional Taxonomies | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: VA 893706) |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: VA 893706) | |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2011-01-14 |