| NPI | 1609495043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 1026248) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: CA 31147) |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-04-15 |