NPI | 1407379209 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI60715099) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: WA DI60715099) |
Enumeration Date | 2017-07-24 |
Last Update Date | 2022-11-29 |