| NPI | 1063884963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND7562) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT84078) |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2020-09-09 |