| 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: UT 13080139-4901) |
| 133V00000X Dietitian, Registered (Licence: OR LD-D-10194334) | |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2024-09-11 |