| NPI | 1124394846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI6012018) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WA NU60043470) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2013-01-14 |