| NPI | 1881319879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 1073392) |
| Additional Taxonomies | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: CA 1073392) |
| 133VN1101X Dietitian, Registered, Nutrition, Gerontological (Licence: CA 1073392) | |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2022-10-11 |