| NPI | 1376027946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ND 1224) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MN 4020) |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2024-02-22 |