| NPI | 1770278889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD.09813) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD006186) |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2023-04-24 |