| NPI | 1497199582 |
|---|---|
| Former Name | ANISA RITA GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: WA NU60584285) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60313607) |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2015-08-27 |