| NPI | 1972671378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 855492) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA DI00001106) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-04 |