| NPI | 1518642446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD.10208) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD006545) |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2024-06-14 |