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 |