| NPI | 1144078189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT90116) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L005706) |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-05-06 |