| NPI | 1669908604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD.08991) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 86034514) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2023-06-16 |