| NPI | 1285191569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 4146) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT82689) |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2024-02-09 |