| NPI | 1942174297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY 289939) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD.09902) |
| Enumeration Date | 2025-09-30 |
| Last Update Date | 2025-09-30 |