| NPI | 1417447590 |
|---|---|
| Former Name | LISA MARIE BORNHOFT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MT 435) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MT 887200) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2022-05-06 |