| NPI | 1154837813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI60754042) |
| Additional Taxonomies | 133N00000X Nutritionist |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2023-09-14 |