| NPI | 1508278342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD7991) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TN 8735304) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2016-12-22 |