| NPI | 1215279377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR LD-D-000647) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA DI 00000873) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-03-26 |