| NPI | 1609310341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 1034647) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 1034647) |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2022-03-18 |