| NPI | 1902683428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND12283) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD.10169) |
| Enumeration Date | 2023-09-08 |
| Last Update Date | 2023-09-08 |