| NPI | 1417723602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L007691) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 86175351) |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2024-01-10 |