| NPI | 1285300988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD.09509) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 133V00000X Dietitian, Registered (Licence: TX 86104589) | |
| Enumeration Date | 2021-08-22 |
| Last Update Date | 2025-04-09 |