| NPI | 1689193096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: WA DI60554481) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA DI60554481) |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2018-06-16 |