| NPI | 1548437312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA DISSELBRETT Office Administrator 612-269-6859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NH 454) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2025-06-16 |