| NPI | 1013040849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI60595970) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AK 175) |
| 133V00000X Dietitian, Registered (Licence: ID D-530) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2017-03-24 |