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 |