| NPI | 1568878296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 1012437) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT 82285) |
| 133V00000X Dietitian, Registered (Licence: TN 2364) | |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2014-07-02 |