| NPI | 1225409600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY BDNDTN00216150) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD.7616) |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2015-10-12 |