| NPI | 1215153804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NH 2254) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MA00020117) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2025-08-01 |