| NPI | 1659580694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI000001980) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR 251) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-11-27 |