| NPI | 1407280555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI61025318) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WA NU60403861) |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2021-05-13 |