NPI | 1841837762 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI-60895620) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR LD-D-10194334) |
Enumeration Date | 2019-12-10 |
Last Update Date | 2019-12-10 |