| NPI | 1396225108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI60892743) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA 86069604) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2022-02-04 |