| NPI | 1821437450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 963233) |
| Additional Taxonomies | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: CA 963233) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2022-04-06 |