| NPI | 1053975987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: OH 08619) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD.08619) |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2022-03-02 |