| NPI | 1528242575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 1784) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: ID D-553) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2020-02-25 |