| NPI | 1407294135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD.7154) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.334133) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2013-06-04 |