| NPI | 1306425194 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI60997924) | 
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WA 86104282) | 
| Enumeration Date | 2021-04-07 | 
| Last Update Date | 2025-03-10 |