| NPI | 1316166614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ND 613) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MN 3304) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2022-05-26 |