| NPI | 1679757108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI00001827) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WA DI00001827) |
| 133V00000X Dietitian, Registered (Licence: WA HC00152963) | |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2018-03-17 |