| NPI | 1720783152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L005344) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD09969) |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2025-01-30 |