| NPI | 1760781322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI 00002081) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 571535) |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2017-06-06 |