| NPI | 1598148975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI60575608) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L003726) |
| Enumeration Date | 2015-07-03 |
| Last Update Date | 2015-07-21 |