| NPI | 1427722214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IA 087243) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD.09681) |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2023-09-20 |