| NPI | 1831704170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD.09187) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L006384) |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2021-08-08 |