| NPI | 1154737005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT88627) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WA NU60324850) |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2023-07-13 |