| NPI | 1821684911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 4389) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: ND 1266) |
| 133V00000X Dietitian, Registered (Licence: OR D-10224515) | |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2023-11-06 |