| NPI | 1588145619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 86075033) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2021-11-30 |