| NPI | 1558919068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR 10210334) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MN 4221) |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2026-01-04 |