| NPI | 1831423474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH 707132) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: OH 707132) |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2009-09-30 |