| NPI | 1205440492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 5478) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: SD 0731) |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2025-12-29 |