| NPI | 1194449900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA LD005778) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT86131) |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2022-09-27 |