| NPI | 1184270597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT84629) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: UT 8867671-4901) |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2023-11-27 |