| NPI | 1750574315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ID D-539) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA DI61488828) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2024-04-02 |