| NPI | 1780135772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 86000802) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric |
| 136A00000X Dietetic Technician, Registered (Licence: CA 86000802) | |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2020-08-07 |