| NPI | 1851163018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI61512550) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR D-10233731) |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2024-06-07 |