| NPI | 1780696831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 867687) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 867687) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2009-11-16 |