| NPI | 1518436369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX 620126) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: TX DT85484) |
| 163W00000X Registered Nurse (Licence: TX 944465) | |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2018-11-21 |