| NPI | 1942714803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD.09974) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC 86091501) |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2025-05-20 |