| NPI | 1356968838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI70027647) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2025-11-13 |