| NPI | 1235420514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT81976) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 133V00000X Dietitian, Registered (Licence: 1006838) | |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2016-06-24 |