| NPI | 1174279848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA LDN6812) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT91588) |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2025-01-06 |