| NPI | 1083287890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WV 1025) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD.09383) |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2023-03-10 |