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 |