| NPI | 1790440816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WI 2601) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MN 4589) |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2022-12-20 |