| NPI | 1962619908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: WA DI0000068) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: ID D-386) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2016-10-04 |