| NPI | 1295030948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA 00881196) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WA NU 60064646) |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2011-01-11 |