| NPI | 1275168411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD.7440) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT85859) |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2023-11-01 |