| NPI | 1407570344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA LDN6815) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 86092926) |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2024-08-20 |