| NPI | 1104657113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD.7366) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WV 1096) |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-11-21 |