| NPI | 1114096294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA di00000405) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: WA DI00000405) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2014-11-11 |