| NPI | 1700371317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 4008) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2020-07-08 |