| NPI | 1811542871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD.6682) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH 6682) |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2020-10-26 |