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 |