| NPI | 1780313239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA R666746) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA R666746) |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2023-06-21 |