| NPI | 1104391069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI61227797) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 86101095) |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2022-01-11 |