| NPI | 1306226840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI60717136) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA R687821) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2018-11-13 |