| NPI | 1154738276 |
|---|---|
| Former Name | LAURA HENKEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 86033707) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2025-02-28 |