| NPI | 1710262134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI60902115) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR 888) |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2018-11-20 |