| NPI | 1891090023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA 1008392) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA 60141595) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2011-01-19 |