| NPI | 1225459621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 4916) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NE 1117) |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2023-03-13 |