| NPI | 1205548757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA 1107006) |
| Additional Taxonomies | 133VN1501X Dietitian, Registered Nutrition, Sports Dietetics (Licence: WA 1107006) |
| Enumeration Date | 2022-12-15 |
| Last Update Date | 2022-12-15 |