NPI | 1669258471 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 5080) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MN 86325380) |
Enumeration Date | 2023-09-06 |
Last Update Date | 2023-11-07 |