| NPI | 1306452321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 86115833) |
| Additional Taxonomies | 136A00000X Dietetic Technician, Registered (Licence: CA 86115833) |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-10-08 |