| NPI | 1326400755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH 6499) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KY 2311) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2016-03-24 |