| NPI | 1184461634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ND 1589) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MN 5380) |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2025-11-24 |