| NPI | 1154829661 |
|---|---|
| Former Name | THERESE BREDEMUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 3881) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT89449) |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2024-02-27 |