| NPI | 1083261101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT89653) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TN 4631) |
| 133V00000X Dietitian, Registered (Licence: MN 4226) | |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2024-04-09 |