| NPI | 1710675749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI61435636) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: DI61435636) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2025-02-03 |