| NPI | 1629004718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND5527) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA 918558) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2010-10-25 |