| NPI | 1508261215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT83415) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2023-09-08 |