| NPI | 1760506208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD1667) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH 535978) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2022-07-12 |