| NPI | 1295074938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI60715721) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR LD-D-000489) |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2017-02-01 |