| NPI | 1811779713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 86292765) |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2025-02-24 |