| NPI | 1679205603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI61335594) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA 61335594) |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2024-09-07 |