| NPI | 1922468651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IN 37002446A) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD.6341) |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2016-02-23 |