| NPI | 1477338531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: LA 3084) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT86467) |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2023-08-28 |