| NPI | 1720721897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86050924) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD.08966) |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2022-04-18 |