| NPI | 1578541231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 08723397) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN256669) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2007-07-08 |