| NPI | 1174767461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 941080) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: CA 974080) |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: CA 974080) | |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2012-11-06 |