| NPI | 1699187294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 897889) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN003453) |
| Enumeration Date | 2014-05-30 |
| Last Update Date | 2021-11-01 |