| NPI | 1568892362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT84859) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OK 1933) |
| 133V00000X Dietitian, Registered (Licence: OK 1046238) | |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2025-07-15 |