| NPI | 1841976982 |
|---|---|
| Former Name | SABRINA SAMUELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI61488847) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: ID D-1331) |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2024-06-18 |