NPI | 1942830559 |
---|---|
Former Name | ROSALIE SHANKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR LD-D-10218001) |
Additional Taxonomies | 174H00000X Health Educator |
Enumeration Date | 2020-01-22 |
Last Update Date | 2024-11-06 |