| NPI | 1073503926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT06835) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2019-11-20 |