| NPI | 1336524040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ID D-1239) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA 86026446) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2024-11-02 |