| NPI | 1750152302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI61507403) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 86301959) |
| Enumeration Date | 2024-01-12 |
| Last Update Date | 2024-01-12 |