| NPI | 1316058993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35088234) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-07-25 |