| NPI | 1962631481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN004167) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD5755) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2009-07-06 |