| NPI | 1952860413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86041911) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: OH LD.8180) |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2019-03-14 |