NPI | 1154189173 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR LD-D-10241812) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA 61503784) |
Enumeration Date | 2024-03-13 |
Last Update Date | 2024-04-19 |