| NPI | 1104424845 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI61114860) | 
| Additional Taxonomies | 133V00000X Dietitian, Registered | 
| 133VN1301X Dietitian, Registered, Nutrition, Oncology | |
| Enumeration Date | 2020-10-14 | 
| Last Update Date | 2024-05-03 |