| NPI | 1558248906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD.7540) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN009177) |
| Enumeration Date | 2025-08-18 |
| Last Update Date | 2025-08-18 |