| NPI | 1255585535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT85290) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2010002577) |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2019-12-13 |