| NPI | 1144101627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT92384) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2025039140) |
| Enumeration Date | 2025-09-10 |
| Last Update Date | 2025-09-10 |