| NPI | 1932531217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: WA NU 00001454) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC 00002642) |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2013-08-08 |