| NPI | 1720313836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI60117849) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WA NU60067944) |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2012-04-03 |