| NPI | 1174274633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY 277470) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH 09607) |
| 133V00000X Dietitian, Registered (Licence: IN 37003702A) | |
| Enumeration Date | 2022-01-15 |
| Last Update Date | 2023-07-25 |