| NPI | 1477887172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD2924) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: OH LD 2924) |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2022-03-01 |