| NPI | 1356984835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX 85606) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX 86043221) |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2022-05-17 |