| NPI | 1649812496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 86056374) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 86056374) |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2022-11-21 |