| NPI | 1497984108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI60131546) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA 984556) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2021-12-21 |