| NPI | 1265544043 |
|---|---|
| Other Name | MARY ELIZABETH POLLY LENSSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: WA DI00000333) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |