| NPI | 1407507882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ND 1273) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MN 4660) |
| Enumeration Date | 2022-01-17 |
| Last Update Date | 2022-07-14 |