| NPI | 1730623091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY 171033) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD6914) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2018-09-13 |