| 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 |