| NPI | 1598187460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 719887) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA DI60267631) |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2014-01-13 |