| NPI | 1548320922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA 940490) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA 00001914) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2014-01-24 |