| NPI | 1124765417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR LD-D-10202446) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA DIET.DI.61691551) |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2025-07-22 |