| NPI | 1205384856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD.08404) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164.006892) |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2021-12-21 |