| NPI | 1184123523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT84838) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX 86074091) |
| Enumeration Date | 2018-02-11 |
| Last Update Date | 2023-08-14 |