| NPI | 1811240229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI60995518) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD003956) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2021-09-14 |