NPI | 1275208274 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86155132) |
Additional Taxonomies | 133N00000X Nutritionist (Licence: WA 86155132) |
Enumeration Date | 2021-08-11 |
Last Update Date | 2025-10-04 |