| NPI | 1487142147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD.3658) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH 805385) |
| Enumeration Date | 2018-04-28 |
| Last Update Date | 2021-01-14 |