| NPI | 1316656671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 4895) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IA 110434) |
| Enumeration Date | 2022-11-15 |
| Last Update Date | 2023-01-27 |