| NPI | 1700420908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86147577) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA DI60986274) |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2023-04-04 |