NPI | 1255083168 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR LD-D-10246185) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA DIET.DI.61256205) |
Enumeration Date | 2022-01-21 |
Last Update Date | 2024-08-23 |