| 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 |