| NPI | 1801027511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WI 5534-29) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD 5579) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2024-08-09 |