| NPI | 1467186338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 3450) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MN 819728) |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2022-07-25 |