| NPI | 1376308668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI61501968) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 86295752) |
| Enumeration Date | 2024-02-16 |
| Last Update Date | 2025-02-19 |