| NPI | 1174636401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT00622) |
| Additional Taxonomies | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: TX DT00622) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2025-06-12 |