| NPI | 1568531283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA D100001342) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA 885205) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2007-07-08 |