NPI | 1316377484 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA CDR-1106542) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR LD-D-10196307) |
Enumeration Date | 2013-11-26 |
Last Update Date | 2019-11-27 |