| NPI | 1972920601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 934326) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 934326) |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2020-05-28 |