| NPI | 1154846590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: OH 86079281) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH 86079281) |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2021-11-02 |