| NPI | 1083918981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD6958) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND5557) |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2014-05-21 |