| NPI | 1265176663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR LD-D-10222278) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: OR 000623) |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2022-05-17 |