| NPI | 1154910214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN007374) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD.09340) |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2024-01-28 |