| NPI | 1093013161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: WA 0800) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: CA 1344664) |
| 175F00000X Naturopath (Licence: OR 656619) | |
| Enumeration Date | 2011-03-14 |
| Last Update Date | 2011-03-14 |