| NPI | 1801276779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ID D860) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA DI60311914) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2016-07-19 |