NPI | 1609310606 |
---|---|
Former Name | ASHLEY BOWER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA LD004523) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA 86058151) |
Enumeration Date | 2016-12-09 |
Last Update Date | 2016-12-09 |