| NPI | 1124406848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 136A00000X Dietetic Technician, Registered (Licence: MN 2330) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: MN 21320325) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2020-12-03 |