| 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 |