| NPI | 1639861313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 86211808) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA 86211808) |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2026-08-03 |