| NPI | 1063663805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH 1005528) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH 6245) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2008-10-09 |