| NPI | 1588042766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI60311454) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WA 1061177) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-06-12 |