| NPI | 1629451307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: SD 0498) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MN 3527) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2024-03-11 |