| NPI | 1558968172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MN 4364) |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |