| NPI | 1346840782 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD.08873) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |