| NPI | 1346323144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WV 471) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD.4294) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2015-05-26 |