| NPI | 1831673771 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR 10234940) | 
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 86075764) | 
| Enumeration Date | 2018-09-17 | 
| Last Update Date | 2025-04-28 |