NPI | 1972739639 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 928156) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR 10194514) |
Enumeration Date | 2009-06-08 |
Last Update Date | 2023-08-31 |