| NPI | 1376984294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: VT 074.0094226) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA 60632328) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2022-07-21 |