| NPI | 1841697208 |
|---|---|
| Former Name | NICHOLE BALANDRAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 1081293) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 136A00000X Dietetic Technician, Registered (Licence: CA 1081293) | |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2021-11-12 |