| NPI | 1942741624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 5187) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WI 86013086) |
| 133V00000X Dietitian, Registered (Licence: WI 3065) | |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2024-01-26 |