| NPI | 1578845509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL 969989) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 969989) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2014-05-15 |