| NPI | 1083197867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 3973) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 86066342) |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2020-10-13 |