| NPI | 1013420207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY 261387) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD08373) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2021-02-19 |