| NPI | 1073535399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WI 1826) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MN 2563) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2021-03-15 |