| NPI | 1679531396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CT 370) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA DI00001460) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2018-03-17 |