| NPI | 1760054118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH 706826) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: OH 706826) |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2021-07-14 |