| NPI | 1154502136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT05337) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX 817434) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2020-04-13 |