| NPI | 1306210935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI60621169) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2019-08-20 |