| NPI | 1063680726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT81099) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA DI00002049) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2014-04-22 |