| NPI | 1003872177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: CA 86070791) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 217150) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2019-09-16 |