| NPI | 1215197132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY KY-1953) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH 5847) |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2011-01-21 |