| NPI | 1861038564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86130520) |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133V00000X Dietitian, Registered (Licence: WA DI61606646) | |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2025-10-10 |