| NPI | 1760434377 |
|---|---|
| Former Name | LISA TRACY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 896740) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: CA 896740) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2008-04-07 |