| NPI | 1588761381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: WA DI00001785) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA DI00001785) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-05-29 |