| NPI | 1316398803 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 133N00000X Nutritionist (Licence: WA NU 60301745)  | 
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: WA NU 60301745)  | 
| Enumeration Date | 2016-06-26 | 
| Last Update Date | 2016-06-26 |