| NPI | 1194961375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: WA 1107) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: WA 1107) |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2008-12-18 |