| NPI | 1558394403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT85877) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD dx2513) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2019-04-30 |