| NPI | 1124369913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT91320) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND9484) |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2024-11-13 |