| NPI | 1467992263 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 133V00000X Dietitian, Registered | 
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: TX DT82861)  | 
| Enumeration Date | 2017-02-28 | 
| Last Update Date | 2023-06-05 |