| NPI | 1518717941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 5222) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: HI 391-LD) |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2024-03-26 |