| NPI | 1740905363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD.08644) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH 86048202) |
| Enumeration Date | 2022-10-06 |
| Last Update Date | 2023-08-15 |