NPI | 1023565355 |
---|---|
Former Name | KRISTINE TAMAKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI60720921) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AZ 1033963) |
Enumeration Date | 2016-09-02 |
Last Update Date | 2024-05-03 |