| NPI | 1407504970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI61605080) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WA NU61202793) |
| 171M00000X Case Manager/Care Coordinator (Licence: WA DI61605080) | |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2024-10-17 |