| NPI | 1063419083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT05156) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND10168) |
| 133V00000X Dietitian, Registered (Licence: OR 10226392) | |
| 133V00000X Dietitian, Registered (Licence: OH LD.09528) | |
| 133V00000X Dietitian, Registered (Licence: IL 164008823) | |
| 133V00000X Dietitian, Registered (Licence: HI 401-LD) | |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2024-08-07 |