| NPI | 1295292068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT86868) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L005530) |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2023-05-17 |