| NPI | 1154451185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH L4735) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: OH LD-4735) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2024-10-17 |