| NPI | 1568772630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1006X Dietitian, Registered Nutrition, Metabolic (Licence: OH 4890) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered Nutrition, Pediatric (Licence: OH 4890) |
| 133V00000X Dietitian, Registered (Licence: OH 4890) | |
| 133VN1006X Dietitian, Registered Nutrition, Metabolic | |
| 133V00000X Dietitian, Registered | |
| 133VN1004X Dietitian, Registered Nutrition, Pediatric | |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2011-09-26 |