| NPI | 1396036828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD 3342) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KY 2220) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2011-05-02 |