| NPI | 1952948952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: WA DI61564208) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WA NU61007385) |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: WA NU61007385) | |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2024-06-04 |