| NPI | 1871544809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 2348) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: MN 2348) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2013-08-05 |