| NPI | 1437526936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT86987) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN005720) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2022-02-25 |