| NPI | 1730914144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WV 169) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH 2263) |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2024-09-05 |