| NPI | 1154794022 |
|---|---|
| Former Name | JANELLE DERELLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI60678012) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 4016) |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2019-12-12 |