| NPI | 1659646446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DIET.DI.70020969) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT93222) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2026-06-18 |