| NPI | 1528454105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI60925857) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR LD-D-000980) |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: OR LD-D-000980) | |
| 136A00000X Dietetic Technician, Registered (Licence: WA DI60925857) | |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2019-03-13 |