| NPI | 1619711165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI00001143) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR D-10243418) |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2024-06-20 |