| NPI | 1114143948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 1173) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IA 01112) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2024-11-08 |