| NPI | 1396342010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI GUNDERSON Registered Dietitian Nutritionist 651-485-6276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |