| NPI | 1447501911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI 60464712) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA LDN6612) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2023-08-22 |