| NPI | 1689159451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 4103) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2019-02-04 |