| NPI | 1497203921 |
|---|---|
| Former Name | RACHAEL LEE MORTENSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NV 40664-DI-1) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2026-08-11 |