| NPI | 1679013221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR 10166399) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA DI60525946) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2018-11-07 |