| NPI | 1245851369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NM LD-1050) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT83980) |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2022-01-20 |