| NPI | 1255811741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI60771842) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 86103638) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2022-02-18 |