| NPI | 1669879342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI 60542782) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: ID D-843) |
| 133V00000X Dietitian, Registered (Licence: MT MED-NUTR-LIC 39893) | |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2016-03-03 |