| NPI | 1194658989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD.11142) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KY 3016) |
| Enumeration Date | 2026-06-03 |
| Last Update Date | 2026-06-03 |