| NPI | 1447623533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1004X Dietitian, Registered Nutrition, Pediatric (Licence: OH SV417984) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: OH SV417984) |
| 133NN1002X Nutritionist Nutrition, Education (Licence: OH SV417984) | |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2015-11-11 |