| NPI | 1710650478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 86048769) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AR 1609) |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2021-12-14 |