| NPI | 1194116681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD.08579) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AZ 86028435) |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2019-01-31 |