| NPI | 1811200991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DIET.DI.60621679) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR 991) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2025-08-22 |