| NPI | 1245517424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA 871648) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA DI00001136) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2011-11-15 |