| NPI | 1780200931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: WA DI61084911) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: WA DI61084911) |
| 133V00000X Dietitian, Registered (Licence: WA DI61084911) | |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2025-09-25 |