| NPI | 1699102145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WV 920) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD.6416) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2014-03-20 |