| NPI | 1275921488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT87774) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TN 1680) |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2023-06-27 |