| NPI | 1639136567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD.3378) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH 804238) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2018-12-18 |