| NPI | 1063984623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH 4161) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: 20210207) |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2018-12-20 |