| NPI | 1063010692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD.09268) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH 86107419) |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-11-10 |