| NPI | 1508452384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT83304) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-14118) |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2025-08-22 |