| NPI | 1558827709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 4178) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MN 86072708) |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2021-03-11 |