| NPI | 1043637911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 3788) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IA 073006) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2018-04-20 |