| NPI | 1811550833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 655909) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 655909) |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2019-04-16 |