| NPI | 1265921548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI60852792) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 86071348) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2020-06-26 |