| NPI | 1003214222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 2886) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: ND 839) |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2014-12-22 |