| NPI | 1063223642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 86359570) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TN 5289) |
| Enumeration Date | 2025-01-14 |
| Last Update Date | 2025-07-30 |