| NPI | 1669039301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ID D-1097) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 924223) |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2019-05-28 |