| NPI | 1053887786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD.08422) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KY 240114) |
| Enumeration Date | 2018-10-20 |
| Last Update Date | 2019-09-06 |