| NPI | 1164287884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246Z00000X Specialist/Technologist, Other (Licence: OR BAP-E-10256316) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WA 61480409) |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2025-05-24 |