| NPI | 1407826548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA 427023) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA 00000055) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2007-07-09 |