| NPI | 1114319498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI60660968) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: DC DI100000612) |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2019-01-22 |