| NPI | 1003134933 |
|---|---|
| Former Name | TESSA JANELLE REINBOLD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI60070561) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA 990675) |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2014-07-02 |