| NPI | 1184038317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: TX DT83629) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AL 2014) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2022-09-15 |