| NPI | 1114255288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD.6504) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN001191) |
| Enumeration Date | 2009-11-30 |
| Last Update Date | 2010-01-27 |