| NPI | 1487499075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 5619) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 86211087) |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2025-06-19 |