| NPI | 1275095804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ID D-1265) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA DI60938283) |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2022-09-12 |