| NPI | 1770163008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IN 37003063A) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD.7412) |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2021-04-12 |