| NPI | 1508585167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI61185526) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: WA DI61185526) |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2022-10-18 |