| NPI | 1821807132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN005915) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH 5532) |
| Enumeration Date | 2025-01-01 |
| Last Update Date | 2025-01-01 |