| NPI | 1881680932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 2683) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IA 01600) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2020-09-18 |