| NPI | 1013725480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT91470) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD.08875) |
| Enumeration Date | 2024-12-18 |
| Last Update Date | 2024-12-18 |