| NPI | 1184237919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 86153210) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MN 4543) |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2021-09-01 |