| NPI | 1184013559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI61144737) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 1025777) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2021-04-16 |