| NPI | 1013275338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX dt86072) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD.6930) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2020-11-20 |