| NPI | 1033486972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 1050263) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA DI60260239) |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2019-09-30 |