| NPI | 1285142372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 86093783) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 86093783) |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2020-12-04 |