| NPI | 1467162867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX 86253438) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2023-07-06 |