| NPI | 1932960077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L007542) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MN 5332) |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-07-25 |