| NPI | 1922555473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: OH 004975) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2023-11-21 |