| NPI | 1306486626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI61030935) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR LD-D-10205376) |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2025-08-04 |