| NPI | 1396307807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 4148) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2020-10-16 |