| NPI | 1700200250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA 1060729) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA DI60417982) |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2014-02-04 |