NPI | 1790100030 |
---|---|
Former Name | SARAH A OPDAHL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA 1085434) |
Additional Taxonomies | 133N00000X Nutritionist (Licence: WA 1085434) |
Enumeration Date | 2014-02-24 |
Last Update Date | 2016-03-01 |