| NPI | 1366092124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: UT 86060215) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 86060215) |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-09-13 |