| NPI | 1154958080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA 86104339) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA DIET.DI.61037761) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2020-03-23 |