| NPI | 1518418490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 1026602) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: CA 1026602) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2025-02-26 |