| NPI | 1538567318 |
|---|---|
| Former Name | ELIZABETH MARIE MANNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: CA 1047390) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 1047390) |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2021-06-04 |