| NPI | 1982941357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 1007802) |
| Enumeration Date | 2013-01-05 |
| Last Update Date | 2022-01-27 |