| NPI | 1912663923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR LD-D-10242101) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA 61238988) |
| Enumeration Date | 2021-11-14 |
| Last Update Date | 2025-07-08 |