| NPI | 1720678956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD.09374) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2022-03-07 |