| NPI | 1356954317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 2066) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: MN 2066) |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management (Licence: MN 2066) | |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2023-05-23 |