| NPI | 1417707498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NE 1900) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 86325139) |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2025-07-31 |