| NPI | 1265950638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX3748) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: UT 13251023-4901) |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2023-03-02 |