| NPI | 1487242673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI61205677) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR LD-D-10217863) |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2025-08-19 |