| NPI | 1972172831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI61189263) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2024-01-20 |