| NPI | 1366376121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86036199) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95249757) |
| Enumeration Date | 2026-06-09 |
| Last Update Date | 2026-06-09 |