| NPI | 1154829109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: UT 115284934901) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: UT 86049941) |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2021-03-30 |