| NPI | 1760590566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: CA 725227) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 725227) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2021-01-28 |