| NPI | 1508202375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH 3080) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KY 2401) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2013-05-20 |