NPI | 1558554360 |
---|---|
Former Name | TRICIA LEA SLADE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR LD-D-10174920) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA DI00002009) |
Enumeration Date | 2007-08-24 |
Last Update Date | 2023-12-07 |