| NPI | 1174323877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT92028) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TX DT92028) |
| Enumeration Date | 2025-03-13 |
| Last Update Date | 2026-03-04 |