Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | 1103 | OH |
NPI | 1003034893 |
---|---|
Provider Name | Dr. Rebecca Ulsh |
First Address | Cincinnati, OH 45242-7789 |
Second Address | Cincinnati, OH 45242-7789 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2007 |
Last Update Date | 08/07/2007 |