| NPI | 1912019803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 803731) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 803731) |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: CA 803731) | |
| 132700000X Dietary Manager (Licence: CA 803731) | |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: CA 803731) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-07-19 |