| NPI | 1275723470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD8068) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN002655) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2020-09-23 |