| NPI | 1235850744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT91258) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KS 2306) |
| 133V00000X Dietitian, Registered (Licence: MO 2021031574) | |
| Enumeration Date | 2022-09-05 |
| Last Update Date | 2024-12-19 |