| NPI | 1184379612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 4876) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2022-12-20 |