| NPI | 1467617019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR LDD000457) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA DI60643012) |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2025-12-17 |