| NPI | 1407027113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: DC DI100000328) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD.6138) |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-12-05 |