| NPI | 1851637052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA 003814) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH 0063) |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2012-12-17 |