| NPI | 1669224143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AL 4005) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH 10364) |
| Enumeration Date | 2024-04-05 |
| Last Update Date | 2024-04-05 |