| NPI | 1497370415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR LDD10217548) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA 86090910) |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2021-11-30 |