| NPI | 1629565759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI60841607) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 86084920) |
| Enumeration Date | 2018-04-14 |
| Last Update Date | 2019-03-20 |