NPI | 1336442334 |
---|---|
Former Name | MARLENE J MALTBY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI60202010) |
Additional Taxonomies | 133N00000X Nutritionist (Licence: WA DI60202010) |
133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: WA DI60202010) | |
Enumeration Date | 2010-12-13 |
Last Update Date | 2023-07-20 |