| NPI | 1134402217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX 1026066) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT81636) |
| Enumeration Date | 2011-09-24 |
| Last Update Date | 2011-09-24 |