| NPI | 1104527506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 1004505) |
| Additional Taxonomies | 133VN1501X Dietitian, Registered Nutrition, Sports Dietetics (Licence: 1004505) |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2023-10-17 |