| NPI | 1003375841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86078381) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: MA 4631-NU-NU) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-03-19 |