| NPI | 1306839956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI00001258) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: MD DX3074) |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2011-02-09 |