| NPI | 1790251387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD.8193) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KY LD.8193) |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2018-10-22 |