| NPI | 1164453403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT84978) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: OH LD 5675) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2019-04-17 |