| NPI | 1063853679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT81522) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX 1038969) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2013-07-11 |