| NPI | 1811536485 |
|---|---|
| Former Name | TEALE GREENWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI61023024) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2020-01-24 |