| NPI | 1982239687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 636958) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 17272) |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-03-03 |