| NPI | 1548256696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IN 37002655A) |
| Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education (Licence: KY 0329) |
| 133V00000X Dietitian, Registered (Licence: OH LD1106) | |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2017-12-11 |