| NPI | 1790185239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ND 902) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MN 3131) |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2017-03-24 |