| NPI | 1518717800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH 86290138) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD.09866) |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2024-03-27 |