| NPI | 1609067818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: WA NU61214108) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA PT00010647) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2024-05-09 |