| NPI | 1427826825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 2768) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2024-01-17 |