| NPI | 1134963127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: WA NU61579899) |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133NN1002X Nutritionist Nutrition, Education | |
| 171400000X (Licence: A-3196281) | |
| 174400000X Specialist | |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2024-10-05 |