| NPI | 1225309131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD8116) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN004227) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2017-01-06 |