| NPI | 1073073045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 86066765) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD.08638) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2022-06-22 |