| NPI | 1235718594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI61200643) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: WA DI61200643) |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2025-01-29 |