NPI | 1487242673 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR LD-D-10217863) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA DI61205677) |
Enumeration Date | 2021-01-04 |
Last Update Date | 2023-08-22 |