NPI | 1972931491 |
---|---|
Former Name | CARRIE JAYNE HOLLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA 00000459) |
Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: WA 00000459) |
Enumeration Date | 2013-10-18 |
Last Update Date | 2013-10-18 |