| NPI | 1477801074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI221) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: MD D00985) |
| 133V00000X Dietitian, Registered (Licence: MD D00985) | |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-08-29 |