| NPI | 1417372590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 4278) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 3563) |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2020-10-13 |