| NPI | 1598532244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 86374468) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD.10357) |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2023-12-04 |