| NPI | 1073306932 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 895475) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2025-05-23 |
| Last Update Date | 2025-05-23 |