| NPI | 1407365950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 86044272) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX 86044272) |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2026-06-09 |