| NPI | 1124240056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 2644) |
| Additional Taxonomies | 132700000X Dietary Manager (Licence: MN 2644) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2018-07-12 |