| NPI | 1053846212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH 86028422) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND13555) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2026-06-08 |