| NPI | 1427657899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 86002407) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT85394) |
| Enumeration Date | 2020-10-18 |
| Last Update Date | 2020-10-18 |