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 |