| NPI | 1831522929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA 01071508) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA 60350353) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2013-08-13 |