NPI | 1992917694 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD.5999) |
Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: OH AT000022) |
Enumeration Date | 2007-05-04 |
Last Update Date | 2015-07-17 |