| NPI | 1760857262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI 60615213) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA 60415319) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2016-09-22 |