| NPI | 1861682361 |
|---|---|
| Former Name | LESLIE ANN FREITAG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR 000504) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 724230) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2007-07-31 |