| NPI | 1164569919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX 960928) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 960928) |
| 133V00000X Dietitian, Registered (Licence: TX DT80671) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2014-10-10 |