| NPI | 1578716080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD08453) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 00896181) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2018-07-10 |