| NPI | 1265916365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI61215907) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 4602) |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2024-08-09 |