| NPI | 1053600957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CO 717690) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 717690) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2020-02-14 |