| NPI | 1881160026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 3628) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MN 86047154) |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2020-08-05 |