| NPI | 1255803268 |
|---|---|
| Former Name | GABRIELLE WADE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR 10233693) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 133V00000X Dietitian, Registered (Licence: CT 001704) | |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2023-08-04 |