| NPI | 1144778309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ID D1052) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA DI60685770) |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2019-01-10 |