| NPI | 1649799727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA 61237924) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX4266) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2024-01-24 |