| NPI | 1972939239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR LD-D-10148405) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA DI61140516) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2023-11-16 |