| NPI | 1205022688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR D10187258) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA DI00001105) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2018-03-17 |