| NPI | 1558012278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 86081953) |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2025-01-01 |