| NPI | 1467206391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI61574887) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: HI 177-LD) |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2024-08-16 |