| NPI | 1285300988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX 86104589) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2021-08-22 |
| Last Update Date | 2021-10-28 |