| NPI | 1508068222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI00001071) |
| Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education (Licence: WA DI00001071) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-08-04 |