| NPI | 1104197201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 00954751) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: 00954751) |
| 133NN1002X Nutritionist Nutrition, Education (Licence: CA 00954751) | |
| 133VN1004X Dietitian, Registered Nutrition, Pediatric (Licence: CA 00954751) | |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2012-01-20 |