| NPI | 1750037826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA D161277062) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2022-02-26 |
| Last Update Date | 2022-03-03 |