| NPI | 1710756960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 4961) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: SD 0972) |
| Enumeration Date | 2023-12-29 |
| Last Update Date | 2025-10-31 |