| NPI | 1679763478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 957102) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR 10146262) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2012-08-16 |