| NPI | 1134153182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI00001045) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: WA DI00001045) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2018-11-09 |