| NPI | 1366198285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI61664277) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: ID 86116529) |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2025-07-14 |