| NPI | 1497975007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MT 44387) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA DI00000679) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2016-02-23 |