| NPI | 1790053411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI60505771) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WA DI60505771) |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2019-06-11 |