| NPI | 1104230648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 3899) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: CA 86002577) |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: CA 86002577) | |
| 133V00000X Dietitian, Registered (Licence: CA 86002577) | |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: MN 3899) | |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2024-10-15 |