| NPI | 1568725612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI60416009) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT82089) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2025-07-09 |