| NPI | 1578784138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: OH LD.5746) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD.5746) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2010-12-30 |