| NPI | 1508641861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT89275) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric |
| Enumeration Date | 2023-08-25 |
| Last Update Date | 2024-02-13 |