| NPI | 1801008214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI60542786) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2007-05-06 |
| Last Update Date | 2020-06-24 |