| NPI | 1609583871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA 61336411) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2022-10-27 |
| Last Update Date | 2024-12-12 |