| NPI | 1235568924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX 806810) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT03688) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-04 |