| NPI | 1235532029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: LA 2944) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 1036563) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2023-08-15 |