| NPI | 1346028453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT85234) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 010687) |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2023-09-19 |