| NPI | 1700343076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ND 1190) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MN 4077) |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2022-06-21 |