| NPI | 1609583707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 86277843) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NV 86277843) |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2024-05-02 |