| NPI | 1407368939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT85036) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX 86085668) |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2024-03-21 |