| NPI | 1114473014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI 60689692) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: WA DI60689692) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2017-01-10 |