| NPI | 1962687830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 1284) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MN 1204) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2018-03-17 |