| NPI | 1730900796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L008166) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA DI61446571) |
| Enumeration Date | 2024-10-22 |
| Last Update Date | 2024-10-22 |