| NPI | 1831663509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 2582) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IA 084578) |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2022-07-27 |