| 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 |