| NPI | 1073889325 |
|---|---|
| Former Name | THEA ROBERTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 999481) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR LD-D-10185772) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2021-11-20 |