| NPI | 1174109110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI61230198) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2020042392) |
| Enumeration Date | 2021-03-21 |
| Last Update Date | 2023-09-06 |