| NPI | 1598228363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI61107876) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR 10196229) |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2024-08-27 |