| NPI | 1679058622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN006685) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD.7443) |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2025-09-29 |