| NPI | 1619269313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH 6609) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered Nutrition, Metabolic (Licence: OH 6609) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2015-02-19 |