| NPI | 1376925347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD3629) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KY BDNDTN00218831) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2015-06-25 |