| NPI | 1043439912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: SD SD 0134) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MN MN 2195) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2008-07-01 |