| NPI | 1497029433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT83792) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2001023587) |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2022-10-12 |