| NPI | 1649663600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 911569) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: CA 911569) |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: CA 911569) | |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2015-03-13 |