| NPI | 1346065026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA 61559445) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: ID 1462) |
| Enumeration Date | 2024-11-18 |
| Last Update Date | 2024-11-18 |