| NPI | 1962939769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI60850685) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164.007118) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2019-03-26 |