| NPI | 1932213113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: MN 1115) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MN 1115) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2008-11-13 |