| NPI | 1316280845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AL 2879) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT82658) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2018-09-11 |