NPI | 1588167837 |
---|---|
Former Name | JENILEE VAN HEEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 86044503) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MN 3763) |
Enumeration Date | 2018-03-13 |
Last Update Date | 2018-03-13 |