| NPI | 1245912716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: OR LD-D-10240823) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WA NU61466525) |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2024-06-27 |