| NPI | 1407961113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI00002012) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AK 83) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-09-25 |