| NPI | 1306277801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT83039) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX 83039) |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2019-11-07 |