| NPI | 1952813438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: CA 86033484) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 86033484) |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2022-06-06 |