| NPI | 1073276507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI61234936) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 86099495) |
| Enumeration Date | 2021-10-21 |
| Last Update Date | 2023-11-21 |