| NPI | 1396484655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI60814613) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 86107038) |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2023-12-14 |