| NPI | 1114195781 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 136A00000X Dietetic Technician, Registered (Licence: WA 885144)  | 
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: WA 885144)  | 
| Enumeration Date | 2008-02-15 | 
| Last Update Date | 2008-02-15 |