| NPI | 1295120335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT84426) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD004068) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2023-03-15 |