| NPI | 1265779268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD2854) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH 723758) |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2019-03-18 |