| NPI | 1417780685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD.08652) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TN 3801) |
| Enumeration Date | 2024-08-23 |
| Last Update Date | 2024-08-23 |