| NPI | 1053353458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IN 37000176A) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH 2001) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2008-12-17 |