| NPI | 1689772345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 006055) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD.6086) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2022-09-14 |