| NPI | 1154975233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX 86091515) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: TX DT85919) |
| Enumeration Date | 2019-07-28 |
| Last Update Date | 2023-04-21 |