| NPI | 1649634312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 86045900) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MI 86045900) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2021-04-12 |