| NPI | 1558111674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT89657) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NH 1541) |
| Enumeration Date | 2024-03-22 |
| Last Update Date | 2024-03-22 |