| NPI | 1285048272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT82549) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 133V00000X Dietitian, Registered (Licence: TX DT8259) | |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2020-06-27 |