| NPI | 1932862091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI61202063) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: ID D-1292) |
| Enumeration Date | 2021-10-15 |
| Last Update Date | 2022-10-13 |