| NPI | 1164152682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT87693) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX 86288742) |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2025-06-23 |