| NPI | 1134611049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 4010) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MN 86024081) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2020-12-22 |