| NPI | 1598733032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD.831) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L006064) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2025-02-26 |