| NPI | 1255654729 |
|---|---|
| Former Name | KATHERINE MARCELLE OTTO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH 08353) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 2952) |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2018-04-30 |