| NPI | 1093047672 |
|---|---|
| Former Name | LAURA JANE JENSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND5247) |
| Additional Taxonomies | 174H00000X Health Educator |
| 133NN1002X Nutritionist Nutrition, Education | |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2019-04-22 |