| NPI | 1225315294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MT 106335) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA DI60190595) |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2022-05-10 |