| NPI | 1427624816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI61160753) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: WA DI61160753) |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2021-08-09 |