| NPI | 1780606137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI00001730) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WA NU00001647) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2007-10-12 |