| NPI | 1568048460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD.09354) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KY 252118) |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2023-11-16 |