| NPI | 1407491509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI61005600) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WA DI61005600) |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2020-12-15 |