| NPI | 1114468667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 86063099) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR 10182272) |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2017-09-08 |