| NPI | 1598252579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI61107742) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164.006504) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2024-05-03 |