| NPI | 1073774766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT07555) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX 952398) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2011-05-13 |