| NPI | 1134490691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WI 3359-29) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA DI60127442) |
| Enumeration Date | 2012-01-14 |
| Last Update Date | 2019-07-09 |