| NPI | 1699842369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L001625) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH 4224) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2024-05-30 |