| NPI | 1568986297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: SD 0678) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MN 3847) |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2023-12-13 |