| NPI | 1366189995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86101944) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT85882) |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2022-05-16 |