| NPI | 1275420374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD10795) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT83920) |
| Enumeration Date | 2025-06-20 |
| Last Update Date | 2025-06-20 |