| NPI | 1083795629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH 95110) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TN 4954) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2025-01-24 |