| NPI | 1003880659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN003307) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD5716) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2007-08-02 |