| NPI | 1932963626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CO 86013504) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH 86013504) |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-04-03 |