| NPI | 1124394994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT84707) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 1033512) |
| 133V00000X Dietitian, Registered (Licence: NY 007510) | |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2017-11-03 |