| NPI | 1598933814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI60427724) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MI 896957) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2016-11-25 |