| NPI | 1124916135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 959341) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN272552) |
| Enumeration Date | 2025-06-26 |
| Last Update Date | 2025-12-08 |