| NPI | 1720349038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI60716384) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: LA 2300) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2019-05-29 |