| NPI | 1215583935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY 252311) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD.4976) |
| 133V00000X Dietitian, Registered (Licence: IN 37003167A) | |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2023-10-11 |