| NPI | 1720682628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 3584) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WI 2944-29) |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric | |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management | |
| 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics | |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2020-11-23 |