| NPI | 1407664220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT85469) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L006341) |
| Enumeration Date | 2024-12-26 |
| Last Update Date | 2024-12-26 |