| NPI | 1831313717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L003987) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD.5814) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2023-10-05 |