| NPI | 1770722597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI60546797) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CO 984009) |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2015-11-11 |