| NPI | 1306500749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD.09432) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KY 273418) |
| Enumeration Date | 2021-10-22 |
| Last Update Date | 2022-12-30 |